Breakthrough bleeding on HRT & MJ - anyone else?

[Terrapinn]

Just taken my 4th dose of 2.5 and have had increasingly heavy bleeding for the last few days. I am on HRT and read somewhere that MJ can block absortion of prog (would also explain the return of hideous insomnia).

Prior to MJ I have had break through bleeding, thickened endometrium but clear biopsy post hysteroscopy.

Anyone been through this - is it likely to settle - or do I need to get another way of getting prog (coil?).

Some information that was released last week on HRT oral progesterone

Use of incretin-based therapies in women using hormone replacement therapy (HRT)

about:blank Injectable weight loss drugs, contraception and HRT

https://www.facebook.com/share/v/1DFzvb5YWw/

Not sure why this link isn't posting, trying again

https://www.pcwhs.co.uk/_userfiles/pages/files/resources/glp1_contraception_hrt_article.pdf

Do you take oral progesterone ? If so you need to seek advice from your doctor as the new menopause guidelines say that oral progesterone probably won’t work as well if you take Mounjaro, so you need to either change your progesterone or increase the dose.
It’s a new guideline that only came out last week, but lots of info online and I think there is already another post on here about it.

If your progesterone is out of balance it often does cause bleeding. I’d suggest making a dr appointment.

Other post here

www.mumsnet.com/talk/weight-loss-injections/5316957-wlis-and-hrt-oral-progestogen-recent-guidance-from-bms-concerning

Thanks all - thats very helpful.

You could try taking the progesterone vaginally which neatly bypasses the stomach

Thanks for this post, i need to know this too.

I tried this at first but it’s very messy and smelly.